Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 588 | NE |
Y | 111NI0900X | Internist | 588 | NE |
NPI | 1003062076 |
---|---|
Provider Name | Dr. Christoffer Aaron Spoja |
First Address | Olympia, WA 98513-3495 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 11/08/2008 |